Active NPI
Kimberleigh Beard
- Social Worker
- Augusta, GA
National Provider Identifier
1912456393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 116 York Way
Augusta, GA 30909-6082 - Phone
- (706) 414-6992
- NPI assigned
- Sep 27, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | MSW007492 | GA | |
| Social Worker | 104100000X | Primary | ||
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
116 York Way
Augusta, GA 30909-6082
Mailing address
116 York Way
Augusta, GA 30909-6082
Phone (706) 414-6992
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MSW007492 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600905600000",
"number": "1912456393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 YORK WAY",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309096082",
"telephone_number": "706-414-6992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 YORK WAY",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309096082",
"telephone_number": "706-414-6992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEARD",
"first_name": "KIMBERLEIGH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-27",
"last_updated": "2020-09-24",
"certification_date": "2020-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "MSW007492",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.